Key word: motivational interviewing; Article type: Clinical Trial. Motivational interviewing with problem drinkers. Behav Psychother ; — Motivational Interviewing: Helping People Change.
Motivational interviewing - Wikipedia
Third Edition. New York: Guilford Publ. The necessary and sufficient conditions of therapeutic personality change. J Consult Psychol ;21 2 Toward a Theory of Motivational Interviewing. Am Psychol ;64 6 The relationship in motivational interviewing. From counselor skill to decreased marijuana use: Does change talk matter? J Subst Abuse Treat ;46 4 Commitment strength in motivational interviewing and movement in exercise stage of change in women.
J Amer Acad Nurse Pract ;23 9 Through a glass darkly: Some insights on change talk via magnetoencephalography. Chasing change talk: The clinician's role in evoking client language about change. J Subst Abuse Treat ;39 1 J Subst Abuse Treat ; A randomized controlled trial to influence client language in substance use disorder treatment.
Drug Alcohol Depen ; Motivational interviewing: a systematic review and meta-analysis. Brit J Gen Pract ; J Behav Med ;37 4 J Community Med Health Edu This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data was collected beginning 25 days prior and for 4 weeks post-training. Participants received a 7. The Perceived Competence Scale, the Perceived Autonomous Motivation Scale and the Nutrition in Patient care Survey were adapted and administered to assess attitudes toward facilitating health-behavior changes in clinical care.
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Conclusion: Participation in this applied workshop was effective and should be explored further with a larger group. The majority of health conditions causing disease and death in Canada and western society are, at least in part, behaviorallymodifiable [ 1 - 3 ]. Usage of primary health care consultation in Canada is high . Unfortunately, recent research suggests that lifestyle counseling by physicians is minimal [ 5 - 7 ].
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The lack of behavior change counseling may be explained in part by the minimal amount of time physicians and patients spend together during a primary care visit, often not more than 10 minutes [ 8 , 9 ]. Other health care professionals such as pharmacists, nurses, and dietitians have been identified as particularly accessible, and interact with patients for a longer duration during visits [ 8 , 10 ] placing them in a good position to provide motivational support [ 11 , 12 ].
Consequently, non-physician health professionals are in a key position to be involved in behavior change counseling [ 13 - 15 ]. One communication technique receiving increased support for assisting health practitioners with behavior change conversations is Motivational Interviewing MI [ 16 ].
MI is used to resolve ambivalence and a growing body of evidence supports the position that MI principles are effective for activating various health-related behavior changes in individuals including lowering dietary fat intake [ 17 ], improving adherence to medication regimes [ 18 ], enhancing compliance with exercise programs [ 19 ], as well as several other healthrelated improvements [ 20 , 21 ].
Although MI is well described, and has been widely researched in the health care field, health care professionals receive varied and often minimal training towards its practical application [ 22 ]. Research indicates that a major challenge with MI in a setting such as daily clinical practice is the lack of understanding about how to integrate the concepts into practice [ 23 ].
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This may explain the inconsistent results of MI interventions [ 23 - 25 ]. It was hypothesized that improvements would be reported in attitudes, perceived competence, and autonomy to facilitate health behavior changes among patients. Ten health care practitioners from various specialties volunteered to take part in the study; all were female; five registered nurses; two pharmacists; two social workers; and one dietitian. Two participants had previous MI training which consisted of one hour or less. Full participant demographic details are presented in Table 1. Participants were eligible if they were health care practitioners working full-time and had an interest in improving their patientcommunication and facilitating behavior change in their patients.
Two certified Co-Active coaches, with extensive experience facilitating workshops focused on the application of MI through CALC for health care practitioners, provided a seven and a half hour interactive training workshop. Participants engaged in between one and five baseline measurements with the first baseline questionnaire completed 25 days prior to participation in the workshop.
Upon completion of the workshop, participants filled out the same questionnaires again, immediately after the workshop. Thereafter, at weeks one seven days and four 30 days post-workshop questionnaire were completed by each participant. A visual timeline outlining the study structure and data collection period is provided in Figure 1.
Figure 1: Step by step timeline of questionnaire administration pre- and post-workshop. Twenty-five days prior to the workshop, two participants, 01 and 02, completed baseline assessments in the form of questionnaires.
Motivational and behaviour change approaches for improving diabetes management
Instead, most patients just want to make another part of their lives easier. Patients might not necessarily want to start exercising more, but they do want it to be easier to play in the yard with their children. They might not want to eat more nutritiously, but they do want to have more energy during the mid-afternoon work slump.
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